GIHQS Learning Module
Performance Accountability and Governance
This lesson builds practical understanding of healthcare KPI systems using a high-reliability, quality-management, and performance-improvement lens.
Learning outcomes
- Define the role of ownership and governance in KPI performance.
- Build review rhythms that promote follow-through.
- Understand escalation, support, and board oversight.
Why ownership matters
KPIs need owners. Ownership means stewardship, not blame. The owner helps ensure that definitions are understood, data are reviewed, and actions are coordinated.
Governance structures
Performance governance usually includes management huddles, monthly operational reviews, executive scorecards, and board reporting.
Accountability with support
Healthy accountability is paired with coaching and system support rather than punitive responses.
Escalation design
Escalation should be proportionate and predefined for repeated underperformance or emerging risk.
Knowledge check
A KPI has no named owner, no review committee, and no action log. Answer: Sustained follow-through is unlikely.